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KOS The microwave multifunctional tissue processor. 林臻鞠 友聯光學有限公司 unionopt@ms11.hinet.net 02-26980508 2013.10.31. Microwave heating A bit of theory. Theory of microwave heating. Wavelengths range from 1mm to 1m Frequency allowed for commercial, medical and scientific applications:
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KOS The microwave multifunctional tissue processor 林臻鞠 友聯光學有限公司 unionopt@ms11.hinet.net 02-26980508 2013.10.31
Theory of microwave heating Wavelengths range from 1mm to 1m Frequency allowed for commercial, medical and scientific applications: 2,450 MHz (12.2 cm wavelength) Heating is caused by • Dipole rotation - Ionic migration
Energy Microwaves radiation (2.450 MHz) quantum energy (eV) 0,0016 Chemical bond energy (eV) H-OH 5,2 CH3-CH3 3,8 Hydrogen bond (water) 0,21 Theory of microwave heating Microwaves are not ionising radiation Microwaves energy is largely below the energy necessary to break the bonds of common organic molecules
METALS WATER PTFE, PP, TPX Interaction of materialswith microwaves • Reflective • Absorptive • Transparentto Microwaves
Interaction of materialswith microwaves • Reflective Metals • Absorptive Water, alcohols • Transparentto Microwaves PTFE, PP, Cassette, WAX, Glass
CONVECTIVE CURRENTS SOLUTION CONDUCTIVE HEATING Conventional Heating The temperature of the outside surface of the vessel is in excess of the boiling point of the solution Container is heated first then the solution. 傳導性的
SOLUTION MICROWAVE HEATING Solution is heated first Microwave heating Shorter Reaction Times
Reality Perception • Microwaves cook my samples • Rapid processing = poor morphology • Antigens will be lost forever • Molecular studies are not possible • Day processing is useless Microwaves create physical heat like conventionals do but internally the tissues. Better homogenity & efficiency. Today’s technology makes 12-14hours a useless waste of time. Quality is guaranteed priority. Diagnostic equivalence is validated by studies showing optimal antigen reactivity. Microwave do not affect DNA, RNA and proteins’ quality at all. Day processing = same day diagnosis = patient centric care
KOS The microwave multifunctional tissue processor
State of the Art • Microwave is switched OFF if: • Cavity ventilation is compromised • Solvent in cavity is above Threshold • Humidity in cavity exceeds set value • Microwave leak is detected
KOS • Tissue processing • Decalcification • Special stains • Gross hardening • Fixation • Antigen retrieval (93°C to 120°C) In a fraction of the time
KOS: Smart and Fast The first Icon driven HistoStation
KOS* • Multifunctional: 1unit 6applications • Fast: Just plug-in and process • Reliable: Sensors controlled • Flexible: User programs / Favorites • Safe: Sensors monitored • Smart: Icons driven
Multifunctional: ONE unit SIX major applications • Fulfilling all requirements set by CAP/C.L.S.I. • Fulfilling all requirements set by CAP/C.L.S.I. • Ideal substitute for “kitchen type” • microwave oven • Ideal substitute for “kitchen type” • microwave oven
Rapid Tissue processing Same day results for all tissue types. • From 1 to 45 cassettes • Ideal for transplant center • Urgent biopsies • Up to 3 mm thickness • Safe. No xylene • Ethanol – isopropanol only
Fast, unmatched tissue processing time . • 75 minutes • For 2 mm biopsies • Add 18 min fixation • 35 minutes • For transplant biopsies including fixation • 140 minutes • For 3 mm biopsies • Add 28 min fixation
High Quality Slides Excellent H&E, IHC and FISH In a fraction of the time Colonic Biopsy H&E, x400 AdenocarcinomaCytokaratin CAM 5.2, x400 Breast Red-Labeled HER2-FISH, x800 Breast, HER2 IHC, x400
SMART . ICONS DRIVEN MENU 1) Select thickness . 2) Select number of cassettes .
3) Select reagents 4) Press GO
5) Press START. That’s all Time left will be shown on the terminal
Special Stains Up to 16 slides Up to 76% time saving for staining protocols
1) Select stains menu 2) Select specific stain
3) Follow step by step indications 4) Selected program is prestored ready to use.
Dedicated Histomodules 45K, up to 45 cassette 4K, up to 4 cassette 16s, up to 16 slides
A review of some key factors influencing the quality of sections and stains
Bench-level quality factors • Pre-fixation • Fixation • Grossing • Processing • Embedding • Microtomy • Flotation • Section drying • H&E and special stains • IHC, ISH and FISH • Coverslipping
Pre-fixation damage “If tissue is not in a healthy, living state when it is fixed, it can reveal only abnormal details, whatever its subsequent treatment.” Bracegirdle B. A History of Microtechnique
Pre-fixation damage: examples Crush artifact Heat damage Dessication Autolysis
Fixation: common problems Poor quality fixative Inappropriate containers Tissue fragments roughly handled Inadequate volume of formalin